MEDICARE: ALEXANDER JOHN MOGA LPCC/LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH23765	FL
2	101YM0800X	Mental Health Counselor	E.2303526	OH

General Provider Information

NPI Number	:	1891127841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER JOHN MOGA LPCC/LMHC

Provider Business Mailing Address
First Line	:	2430 VANDERBILT BEACH RD STE 108-521
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-2654
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 PINE RIDGE RD STE 101
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-3926
Country	:	US
Telephone Number	:	239-893-9100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	01/30/2025

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